Individual
MISS ANNIE JANE BUTLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMBT
Contact information
Practice address
4822 SIX FORKS RD, 202, RALEIGH, NC 27609-5269
(919) 788-1568
Mailing address
4822 SIX FORKS RD, 202, RALEIGH, NC 27609-5269
(919) 788-1568
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
11229
NC
Other
Enumeration date
10/14/2011
Last updated
10/14/2011
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